Willard Care Center

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure all residents with mental health services as needed when staff failed to consistently notify the physician and failed to develop a care plan regarding statement regarding death made by one resident (Resident #7) that made suicidal comments. The facility census was 57.Review of the facility policy titled, Suicide Threats, undated, showed the following:-Resident suicide threats shall be taken seriously and addressed appropriately;-Staff shall report any resident threats of suicide immediately to the charge nurse;-The charge nurse shall immediately assess the situation and shall notify the Director of Nursing (DON) of such threats;-A staff member shall remain with the resident until the charge nurse arrives to evaluate the resident;-After assessing the resident in more detail, the charge nurse shall notify the resident's attending physician and responsible party, and shall seek further direction from the physician;-All nursing…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to ensure a physician ordered medication was available for resident use for one resident (Resident #6) when staff did not obtain and did not administer his/her ordered bladder spasm medication for approximately four weeks. The facility census was 57.Review of the facility policy titled, Medications, Errors and Drug Reactions, undated, showed, in part, the following:-Purpose to safeguard the resident and provide emergency care as necessary;-Report all medication errors immediately to the resident's physician, Director of Nursing (DON), and Administrator;-Document and follow the physician orders. 1. Review of Resident #6's face sheet showed:-admission date of 02/04/25;-Diagnoses included overactive bladder, neuromuscular dysfunction of the bladder, anxiety and depression. Review of the resident's quarterly Minimum Data Set (MDS - a federally mandated assessment tool completed by facility staff), dated 04/02/26, showed the following:-Resident cognitively intact;-Dependent on staff for assistance with toileting…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to complete regular inspections of the bed frame and side rails for risk of entrapment for one resident (Resident #51) whose side rails were loose. The facility census was 57.Review of the facility policy, titled Bed Rails, undated, showed the following:-Bed rails are constructed of metal or plastic, and are available in various sizes (full length, half, or quarter rails). Bed rails may be positioned in various locations on the bed: upper or lower, one or both sides;-When installing or maintaining bed rails, staff should follow manufacturer's recommendations and specifications for applicable bed rails, mattresses and bed frames;-Staff will conduct regular inspections of all bed frames, mattresses, and bed rails to identify areas of possible entrapment. When bed rails and mattresses are used in purchases separately from the bed frame, the facility will select equipment such as bed rails, mattresses, and bed frames that are compatible.1.Review of Resident #51's face sheet (brief resident profile) showed the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed ensure notification to the resident's family/responsible party of changes of condition for all when residents when staff failed to document family/responsible party notification of four residents (Resident #1, #2, #3, and #4) for resident change in health condition, resident falls, and/or new physician orders. The facility had a census of 58.Review of the facility provided Patient [NAME] of Rights as provided by the Long-Term Care Ombudsman (advocate for residents in nursing homes and assisted living facilities who helps protect their rights, health, and quality of life) Program, showed the resident had the right to:-Be fully informed of services available to you;-Participate in planning your care and being informed of all aspects of your care.Review showed the facility did not provide a policy provided related notifications of resident change in condition to responsible party or family members. 1. Review of Resident #1's face sheet showed the following:…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to keep all residents free from significant medication errors when staff administered one resident's (Resident #1) medication (ferrous sulfate - iron supplement) at the incorrect frequency for 82 days.A sample of four residents was reviewed for medication administration in a facility with a census of 56. Review of the facility policy entitled, Physician Orders, undated, showed medication orders should include type, route, dosage, frequency, and strength of the medication ordered. Review of the facility policy entitled, Medication Administration, revised 02/07/13, showed the following information:-Medications are given to benefit a resident's health as ordered by the physician;-Read the label three times before administering the medication. First when comparing the label with the medication sheet. Second when setting up the medication. Third when preparing to administer medication to the resident;-Administer medication and record the medication given on…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed ensure all residents maintained acceptable parameters of nutritional status with the facility failed to follow-up and implement Registered Dietitian (RD) recommendations for two residents (Resident #1 and #4) with wounds and for three residents (Resident #2, #3, and #4) who were identified as under body weight. The facility census was 37. Review of the facility's House Supplement Guidelines, dated May 2015, showed supplements are indicated when resident's intake at meals is not adequate to maintain weight, weight gain is needed, or weight loss is too rapid. Review of the facility's Supplement Guidelines, dated May 2015, showed the following: -Physician ordered supplements should be prepared and delivered by the dietary department; -Supplementation should be regular food and beverage items when possible before fortified liquid products are tried; -All individual supplements to be documented on the supplement list by the Dietary Manager (DM)…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Deficiency Text Not Available

Deficiency Text Not Available

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to provide an ongoing program of activities designed to meet the needs, interests, and physical, mental, and psychosocial well-being for residents when the facility to provide meaningful activities for all residents, including two residents (Resident #1 and #2), and failed to care plan one resident's (Resident #2) specific activity interest. A sample of 8 residents was selected for review. The facility census was 31. Review of the facility's policy titled Role of the Activity Director, dated 03/2012, showed the following: -The activity director provides a key role in enhancing the quality of a resident's daily life. The activity director plans and promotes meaningful activities based on the resident's interests and desires to provide a more homelike atmosphere in the facility; -Chart daily checklist of each resident's activities; post calendar of events where everyone can see it; secure entertainment well in advance and check with…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure all allegation of possible abuse were were reported to the state survey agency (Department of Health and Senior Services-DHSS) within the required time frame when staff did not report an allegations of possible abuse involving two residents (Resident #1 and Resident #2). The facility had a census of 39. Review of the facility's Abuse and Neglect policy titled, Reporting, undated, showed the following: -It is the policy of the facility that each resident will be free from abuse: -Abuse can include verbal, mental, sexual, or physical abuse, misappropriation of resident property, exploitation, corporal punishment, or involuntary seclusion. The resident will also be free from physical or chemical restraints imposed for purposes of discipline or convenience and that are not required to treat the resident's medical symptoms. Additionally, residents will be protected from abuse, neglect, and harm while they are residing at the facility. No abuse or…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure all allegations of possible abuse were fully and timely investigated when staff did not complete investigations of allegations of possible resident to resident abuse involving two residents (Resident #1 and Resident #2). The facility census was 39. Review of the facility abuse policy titled, Investigation, undated, showed the following: -It is the policy of the facility that reports of abuse (mistreatment, neglect, or abuse, including injuries of unknown source, exploitation and misappropriation of property) are promptly and thoroughly investigated; -The investigation is the process used to try to determine what happened. The designated facility personnel will begin the investigation immediately. A root cause investigation and analysis will be completed. The information gathered is given to administration. When an incident or suspected incident of abuse is reported, the Administrator or Designee will investigate the incident with the assistance…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, record review, and interview, the facility failed to provide care to all pressure ulcers per standards of practice when the facility failed to have a system in place to obtain wound care orders, ensure timely implementation of new wound care orders, to ensure timely physician notification of wounds, and to document and track wounds timely and completely for one resident (Resident #3) who admitted with stage 2 pressure ulcers (a partial thickness skin loss, appearing as a shallow open sore or a blister, where the top layer of skin (epidermis) and potentially the deeper layer (dermis) are damaged, resulting in a red or pink wound bed without exposed muscle or bone; it can also present as an intact or ruptured blister) on his/her buttocks. A sample of 8 residents was reviewed in the facility with a census of 31. Review of the facility's policy titled Wound Protocol, dated 2018, showed the following: -Chronic wounds should be dressed using a clean technique unless physician's orders state otherwise; -Wounds should be cleansed with a non-toxic agent; -Select a…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to protect all residents from misappropriation of property when one resident's (Resident #1) laptop, that was listed on the resident's inventory of personal effects, could not be located. A sample of four residents was reviewed in the facility with a census of 28. Review of the facility's policy titled Abuse Prohibition Protocol Manual, undated, showed the following: -The resident has the right to be free from abuse, neglect, misappropriation of resident property, and exploitation, including freedom from corporal punishment, involuntary seclusion and any physical or chemical restraint not required to treat-the-resident's-medical-symptoms; -Each resident has the right to be free from misappropriation of property and exploitation; -Misappropriation of resident property as defined at 483.5 means the deliberate misplacement, exploitation, or wrongful, temporary, or permanent use of a resident's belongings or money without the resident's consent; -It is the policy of this facility that each resident will be free from abuse. Abuse…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to report an allegation of possible misappropriation to the State Survey Agency (Department of Health and Senior Services - DHSS) within the required twenty-four hour timeframe after facility staff became aware of the allegation of misappropriation of property for one resident (Resident #1). The facility failed to notify local law enforcement of the allegation of misappropriation. A sample of four residents was reviewed in the facility with a census of 28. Review of the facility's undated policy titled Abuse Prohibition Protocol Manual showed the following: -Each resident has the right to be free from misappropriation of property and exploitation; -It is the policy of the facility to encourage and support all residents, staff, families, visitors, volunteers and resident representatives in reporting any suspected acts of abuse, neglect, exploitation, involuntary seclusion or misappropriation of resident property from abuse, neglect, misappropriation of resident property, and exploitation; -An owner, licensee, administrator,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to document a timely and thorough investigation of all allegations of misappropriation when staff failed begin an immediate investigation into one resident's (Resident #1) allegation of misappropriation and failed to document interviews with multiple staff and residents as part of the investigation. A sample of four residents was reviewed in the facility with a census of 28. Review of the facility's policy titled Abuse Prohibition Protocol Manual, undated, showed the following: -It is the policy of this facility that reports of abuse (mistreatment, neglect, or abuse, including injuries of unknown source, exploitation and misappropriation of property) are promptly and thoroughly investigated; -The investigation is the process used to try to determine what happened. The designated facility personnel will begin the investigation immediately. A root cause investigation and analysis will be completed. The information gathered is given to administration; -Investigation regarding misappropriation: The facility staff will complete an…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to electronically transmit encoded Minimum Data Set (MDS) (a federally mandated assessment instrument completed by facility staff) assessments from the facility to the Centers for Medicare & Medicaid Services (CMS) Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) system within 14 days after completion for three residents (Resident #1, Resident #2, and Resident #18) out of a sample of 17 residents selected for review. The facility had a census of 52 residents. The facility did not have a policy regarding transmitting MDS data. 1. Record review of Resident #'1's face sheet (a document that gives a resident's information at a quick glance) showed the following information: -readmitted to the facility on [DATE]; -Diagnoses included Major depressive disorder, generalized anxiety disorder and Alzheimer's disease. Record review of the resident's quarterly MDS assessment, due 1/18/20 and completed on 2/17/20, showed…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interview, the facility failed to ensure staff provided care in a manner to prevent infection or the possibility of infection when staff did not change his/her gloves and wash his/her hands between dirty and clean tasks. The facility had a census of 52 residents. Record review of the facility's infection control policy, titled Cleaning and disinfecting resident rooms, dated November 2008, showed the following information: -Housekeeping services (example, floors, tabletops) will be cleaned on a regular basis, when spills occur, and when these surfaces are visibly soiled; -Use heavy-duty gloves and other personal protective equipment) for housekeeping tasks; -Heavy-duty gloves may be reused as long as the integrity of the gloves is intact and they are disinfected regularly; -Perform hand hygiene after removing gloves. Record review of the facility's Laundry policy, undated, showed the following information: -Contaminated laundry is bagged at the location where it is used and is not sorted…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure one resident (Resident #31) had an appropriate wheelchair for safety and comfort out of a selected sample of 17 residents. The facility's census was 52. 1. Record review of Resident #31's face sheet (a document that gives a resident's information at a quick glance) showed the resident admitted to the facility on [DATE]. His/her diagnoses included pressure ulcer of his/her right buttock, dementia, post-polio syndrome (gradual new weakening in muscles that were previously affected by the polio infection), joint disorder and weakness. Record review of the resident admission Minimum Data Set (MDS), a federally mandated comprehensive assessment instrument completed by facility staff, dated 12/10/19, showed the following information: -Severe Cognitive impairment; -Dependent on staff for bed mobility, transfer, locomotion, and for activities of daily living; -Impairment of range of motion of both lower extremities and of one upper…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure one resident (Resident #31), with limited range of motion, received appropriate treatment and services to prevent a further decrease in range of motion in a selected sample of 17 residents. The facility's census was 52. 1. Record review of Resident #31's face sheet (a document that gives a resident's information at a quick glance) showed staff admitted the resident to the facility on [DATE]. The resident's diagnoses included pressure ulcer of the right buttock, dementia, anxiety, joint disorder and weakness. Record review of Resident #31's admission Minimum Data Set (MDS), a federally mandated assessment instrument completed by facility staff, dated 12/10/19, showed the following information: -Severe cognitive impairment; -Dependent upon staff for bed mobility, transfers, dressing, personal hygiene and bathing; -Resident had impaired functional ROM of both lower extremities and impaired functional ROM one upper extremity; -Used a…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility to ensure proper cleaning and maintenance of a BiLevel Positive Airway Pressure (BiPAP) (a non-invasive form of therapy for people suffering from sleep apnea (temporary cessation of breathing, especially during sleep)), failed to develop and implement interventions for use of a BiPAP and failed to obtain a physician order for oxygen for one resident (Resident #18) in a selected sample of 17 residents. The facility's census was 52. Record review of the facility's Bilevel Positive Airway Pressure (BiPAP) Administration policy, dated March 2015, showed the following information: -Purpose: To administer positive airway pressure to maintain an open airway to the resident with obstructive apnea (repeated episodes of complete or partial obstructions of the upper airway during sleep, despite the effort to breathe, and is usually associated with a reduction in blood oxygen saturation) or respiratory problems, primarily during sleep; -Guidelines: Care and use of the BiPAP machine with cleaning mask, headgear, tubing and…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to meet the psychosocial needs of one resident (Resident #27) who had a diagnosis of depression in a selected sample of 17 residents. The facility's census was 52. Record review of Resident #27's face sheet showed the resident originally admitted on [DATE]. Record review of the resident's current physician orders showed, in part, the following orders: -An order dated 9/17/19, for Duloxetine, 60 milligrams (mg), daily for major depressive disorder; -An order dated 9/17/19, for Trazodone, 50 mg, at bedtime for major depressive disorder. Record review of the resident's Social Services New admission Minimum Data Set (MDS) (a federally mandated comprehensive assessment tool completed by facility staff) assessment note dated 9/23/19, at 1:28 P.M., showed the following: -The Resident and Social Services Director (SSD) completed the basic interview for mental status (BIMS) and mood interview; -The resident scored a 10/15 on the BIMS indicating…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure staff administered medications with an error rate of less than five percent when staff made two errors out of 34 opportunities, resulting in an error rate of 5.88 percent affecting two residents (Resident #26 and #38). The facility's census was 52. 1. Record review of Resident #26's face sheet (a document that gives a resident's information at a quick glance) showed the following: -admitted to the facility on [DATE]; -Diagnoses included Alzheimer's disease, persistent mood disorder, anxiety disorder, and schizoaffective disorder (a chronic mental health condition characterized primarily by symptoms of schizophrenia, such as hallucinations or delusions, and symptoms of a mood disorder, such as mania and depression). Record review of the resident's medication administration record and physician order sheet for March 2019, showed: -An order, dated 12/14/19, for Depakote 125 milligrams (mg) enteric coated (EC) delayed release (DR)…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to address one resident's (Resident #21) dental needs failed to document regarding dental pain, broken teeth, or other dental needs for the resident in a selected sample of 17 residents. The facility's census was 52. Record review of the facility's policy, dated March 2015, titled Oral Hygiene, showed the following information: -Offer oral hygiene before breakfast, after each meal and at bedtime. -Inspect mouth and gums for irritation or open areas. 1. Record review of Resident #21's face sheet (a document that gives a resident's information at a quick glance) showed the following information: -readmitted to the facility on [DATE]; -Diagnoses included stroke, heart failure, diabetes and dementia. Record review of the resident's Physician Order Sheet (POS) showed an order, dated 6/5/19, for a dental consult as needed. Record review of the resident's significant change Minimum Data Set (MDS), a federally mandated assessment instrument…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.